Application for Individuals
Hard Hats for Christ
P.O.  Box 636   Kelso,  WA  98626   USA
information@hh4c.org

 Application Date    ( Please enter today's  date - mm/dd/yyyy )     

PERSONAL INFORMATION:
Self
Title
First Name
Middle
Last Name
Suffix
Nickname if different than first
   
Gender
Birth Date a complete date please
 
Occupation:
Spouse
Title
First Name
Middle
Last Name if different
Suffix
Nickname if different than first
   
Gender
Birth Date a complete date please
 
Occupation:
Marital Status      Anniversary Date    enter a complete date please
Denomination    ( Optional )

Contact Addresses
Primary   street address
    second line - usually blank

City

   State    ZIP/Post-Code 

Country   

  (if not USA)  
   
 
Second   street address
    second line - usually blank

City

   State    ZIP/Post-Code 

Country   

  (if not USA)
   
Third    street address
    second line - usually blank

City

   State    ZIP/Post-Code 

Country   

  (if not USA)    Please indicate seasonal time periods in the Address Notes.
   

Address Notes:

Contact Preference    ( Select the manner or method by which you prefer for MBI to contact you. )
 

Phones, Email-Addresses, Web-Site-URLs
 Phone Notes: 
 

Geographical Areas of Interest
All Areas Asia Europe  North America
  South America Australia / Oceania Africa
 
Countries of Interest  ( type in the country names )
 
USA Regions of Interest
North West - WA OR ID AK Golden State - CA NV HI
Blue Sky - ND SD MT WY Four Corners - NM AZ UT CO
Heartland - AR KS MO IA NE Great Lakes - OH IN MI IL WI MN
South Central - TX OK LA North East - NY NH VT ME MA CT RI NJ
Mid Atlantic - PA MD DE DC VA WV KY South East - NC SC GA AL TN MS FL
 
USA States of Particular Interest  ( enter the two character state abbreviation - eg:  CA  KS  NY )
 
  Notes on Geographical Areas, Countries, Regions and States of Interest: 
 
 
Topics of Interests
 
Specific Hard Hat Project(s) of Interest (as listed on the web site)
 
   
 

Which months can you generally go on a Hard Hats project?
January February March April
May June July August
September October November December

 
How long are you generally available each year? (eg  2, 3, ... , 12 weeks)
 
Specific Dates you are Available
Starting Date Ending Date Number of Weeks available during that time;  Comment
        Use These Dates as approximate dates the next year.
 
  Availability Notes: 
 
SKILLS  -- Your Abilities offered in His service

Please enter "Skill Level" numbers for yourself   (and for your spouse if applicable).
 		 Skill Levels 
  Blank - No Skill, Aptitude or Interest
  1 - Need Supervision  / Guidance
  2 - Able to Work Independently 
  3 - Able to Teach and Lead Others
Skill Self Spouse   Skill Self Spouse
Agriculture   TV / Radio
Carpenter Frame / Deck / Rough   Carpenter  Cabinet Maker
Carpenter Finish / Interior / Trim   Carpenter  Exterior Trim
Electrician - Residential   Electrician - Commercial-Indust
Electrician - Utility   Painting
Drywall Hanger   Drywall Finisher
Sheetmetal   HVAC & Controls
Stone mason   Tile setter
Mason - Brick / Block   Landscaper
Forester   Groundskeeper / Gardener
Logger   Saw Mill Operator
Cement Finisher   Concrete - Structural
Fire Sprinklers   Fireproofing
Acoustical Ceilings   Carpet installer
Laminate floor installer   Wood floor installer
Vinyl floor installer   Glazer
House Mover   Log Home Builder
Dock Builder   Railroad worker
Sound / Security Systems   Telephone Systems
Insulator   Meter Technician
Willing Worker - Unskilled   Handyman / Jack-of-All-
Helper - Semi-Skilled   Remodeler
Laborer - General   Inspector
Leader (Team, Crew)   Plumber / Pipefitter
General Maint.   Business Machines
Chimneys   Custodian
Auto Mechanic   Small Engine Mech.
Aviation Mech.   Body work
Diesel / Hvy Equip Mech.   Roofing - Shingle
Roofing - Metal   Roofing - Tile
Iron Worker   Welder
Steel Stud Mech.   Rebar / Rod Buster
Roads   Heavy Construction
Backhoe   Heavy Equip Operator
Bus/Truck Driver   Crane
Surveyor   Earth moving
Well drilling   Oil field worker
Asbestos Worker   Boiler Maker
Longshoreman   Machinist
Mill worker   Millwright
Architect   Warehouseman
Engineer - Civil   Engineer - Other
Draftsperson   Interior Design/Decor
Engineer - Electrical   Landscape Architect
Engineer - Mechanical   Engineer - Structural
Consultant